Bailin Abby, Burton Samantha, Rego Simon, Alpert Jonathan, Pimentel Sandra
Weill Cornell Medicine.
Massachusetts Institute of Technology.
Cogn Behav Pract. 2021 Nov;28(4):701-715. doi: 10.1016/j.cbpra.2021.04.004. Epub 2021 May 12.
The novel coronavirus (COVID-19) has disproportionately impacted the health and socioeconomic outcomes for low-income populations, people of color, and immigrant children and families in the United States. As inequities in resources (i.e., food, internet, housing), health care, and education increased for marginalized families as a result of COVID-19, child-focused clinicians had to broaden their professional scope and implement new advocacy efforts. The current paper uses clinical vignettes taken from a New York State Office of Mental Health-licensed child and adolescent outpatient clinic in the Bronx, New York. The vignettes highlight the social inequities that impacted marginalized children and families during the pandemic, as well as the clinical team's response through the integration of evidence-base practice and advocacy. Implications for practice with vulnerable populations as the COVID-19 pandemic persists are discussed.
新型冠状病毒(COVID-19)对美国低收入人群、有色人种以及移民儿童和家庭的健康与社会经济状况产生了尤为严重的影响。由于COVID-19导致边缘化家庭在资源(如食物、互联网、住房)、医疗保健和教育方面的不平等加剧,关注儿童的临床医生不得不扩大其专业范围并开展新的宣传工作。本文采用了来自纽约州布朗克斯区一家获得纽约州心理健康办公室许可的儿童和青少年门诊诊所的临床案例。这些案例突出了疫情期间影响边缘化儿童和家庭的社会不平等现象,以及临床团队通过整合循证实践和宣传工作所做出的回应。文中还讨论了在COVID-19大流行持续的情况下,针对弱势群体开展实践工作的意义。